Diastasis Recti in Men: Symptoms, Causes, and Treatments

08 Mar 2024, by

Dr. Lusine Badalian

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Diastasis recti in men, a condition marked by the separation of the abdominal muscles, leads to a noticeable bulge in the midsection and can significantly affect physical function and appearance. This condition's exact prevalence is challenging to ascertain. According to the Hernia Journal, the real prevalence of diastasis recti abdominis is unknown due to variations in measurement methods, sites, and criteria. Nonetheless, it's recognized as an extremely frequent condition among men. Factors contributing to its development include genetics, lifestyle, and certain physical activities, making it essential for affected individuals to seek appropriate diagnosis and treatment.

diastasis recti in men

What Causes Diastasis Recti in Men?

Diastasis recti, a condition not widely discussed among men, occurs when the abdominal muscles separate. This separation can cause a noticeable bulge in the midsection, impacting both physical appearance and function. Understanding what leads to this condition is crucial for prevention and effective treatment.

Excessive Internal Abdominal Pressure

One of the primary drivers behind diastasis recti in men is excessive internal abdominal pressure. This pressure can stem from various sources, such as:

  • Lifting Heavy Objects Improperly: Engaging in heavy lifting without proper technique can strain the abdominal muscles.
  • Sudden Weight Gain: Rapid increases in weight put additional stress on the abdomen, stretching and potentially separating the muscles.
  • Chronic Constipation: Regular straining during bowel movements increases abdominal pressure, contributing to the separation of muscles.

Genetic Predisposition

In some cases, genetics play a role in the development of diastasis recti. If family members have experienced this condition, there may be a higher likelihood of it occurring. This genetic factor suggests that, for some men, muscle structure and connective tissue strength are naturally predisposed to separation.

Improper Exercise Routines

Not all exercises benefit the core equally. Some routines, especially those involving improper form or excessive strain on the abdominal area, can lead to diastasis recti. It's essential to focus on exercises that strengthen the core without causing harm, a topic we'll delve into more deeply later in this article.

Risk Factors Associated with Diastasis Recti in Men

Awareness of the risk factors associated with diastasis recti can aid in prevention and early detection. Key risk factors include:

  • Age: The risk increases with age as muscles naturally weaken.
  • Obesity: Carrying extra weight around the abdomen puts added stress on the abdominal muscles.
  • History of Diastasis Recti: Those who have experienced this condition previously are at a higher risk of recurrence.
  • Certain Exercises: Engaging in exercises that overly strain the abdominal wall, such as certain types of crunches or weightlifting without proper form, can increase the risk.


Understanding these causes, symptoms, and risk factors is the first step in addressing diastasis recti. While the condition can be concerning, knowing how to get rid of diastasis recti in men through appropriate exercises and treatments offers a pathway to recovery. The following sections will explore effective strategies for treatment and prevention, ensuring you have the tools needed to manage or avoid diastasis recti.

Diastasis Recti Symptoms in Men

Identifying the symptoms of diastasis recti early is key to managing the condition effectively. If you're noticing any of the following signs, it may be time to take a closer look:

  • Tummy Bulge or "Pooch": The hallmark symptom is a visible bulge in the abdomen, particularly evident when the muscles are strained or during transitions from lying to sitting or standing.
  • Lower Back Pain: A weakened core can lead to lower back pain, stemming from an imbalance and added pressure on the back due to the abdominal muscles' separation.
  • Poor Posture: The weakening of core muscles can result in poor posture, as these muscles are crucial for maintaining an upright and stable posture.
  • Feeling of Weakness in the Core Area: There may be a general feeling of weakness or instability in the core, making activities that require abdominal strength more challenging.
  • Difficulty with Core Movements: Engaging in actions that involve the core muscles, such as bending, twisting, or coughing, can become difficult or cause discomfort.
  • Gastrointestinal Issues: The structural changes in the abdominal wall may affect digestion, leading to symptoms like bloating or constipation.


If you're experiencing any of these symptoms, an online tool like Docus AI Symptom Checker for Men can be a helpful tool for initial assessment. While this online tool offers valuable insights, it's important to remember that it does not replace the expertise of a healthcare professional.

Complications of Untreated Diastasis Recti in Men

Understanding the potential complications of untreated diastasis recti in men is essential for grasping the condition's seriousness. While diastasis recti primarily affects the appearance and function of the abdominal muscles, it can lead to more severe health issues if not addressed:

  • Hernias: One of the most significant complications is the development of a hernia, specifically an umbilical hernia. This occurs when the intestine protrudes through a weakened spot in the abdominal wall, exacerbated by the separation of the muscles.
  • Pelvic Floor Disorders: The imbalance and weakening of the core muscles can also impact the pelvic floor, leading to disorders that affect bladder and bowel control.
  • Chronic Back Pain: As the core becomes less capable of supporting the spine, individuals may experience chronic back pain, resulting from the increased strain on back muscles.
  • Posture Problems: Long-term diastasis recti can lead to permanent changes in posture, potentially causing a range of issues from neck pain to spinal problems.

Diagnostics of Diastasis Recti in Men

Diagnosing diastasis recti in men involves a series of assessments and tests to accurately measure the separation of the abdominal muscles. Healthcare professionals employ a combination of physical examinations and imaging techniques to determine the extent of the muscle separation. The diagnostic process typically includes:

  • Physical Examination: A healthcare provider will conduct a hands-on examination, asking the patient to perform certain movements or exercises to visually and physically assess the degree of muscle separation.

    • Finger-Width Test: During the examination, the doctor may measure the gap between the abdominal muscles using finger widths, a common method for assessing the severity of diastasis recti.

  • Ultrasound Imaging: For a more detailed view of the abdominal wall and to accurately measure the distance between the muscles, an ultrasound may be used. This imaging technique helps in visualizing the structure of the abdominal muscles, providing precise information about the condition.

  • Other Imaging Tests: In some cases, additional imaging tests like MRI (Magnetic Resonance Imaging) might be recommended to assess the abdominal area thoroughly and to rule out other possible conditions.


Through these diagnostic steps, healthcare providers can develop a comprehensive understanding of the diastasis recti's severity, aiding in the formulation of an effective treatment plan tailored to the individual's specific needs.

Diastasis Recti in Men: Treatment

Effective treatment for diastasis recti in men involves a combination of physical therapy, exercise, and, in some cases, surgery. These treatments aim to strengthen the core, improve posture, and close the gap between the abdominal muscles.

Physical Therapy

Physical therapy is often the first line of treatment recommended for diastasis recti. A physical therapist can design a program tailored to your specific needs, focusing on exercises that strengthen the core without exacerbating the condition. Key components include:

  • Core Strengthening Exercises: Targeted exercises to rebuild the strength and integrity of the abdominal muscles.
  • Posture Correction: Techniques to improve posture and reduce strain on the abdominal wall.

Targeted Exercise Programs

Exercises specifically designed for men with diastasis recti can be highly effective in managing and reducing the condition. It's important to approach exercise with caution, avoiding activities that could worsen the separation. Recommended diastasis recti in men exercises include:

  • Pelvic Tilts
  • Toe Taps
  • Leg Lifts
  • Deep Belly Breathing with Core Engagement


Avoid exercises that strain the midline, such as traditional sit-ups, which can increase the separation.


In severe cases where physical therapy and exercise do not provide sufficient improvement, surgery may be considered. The most common procedure is abdominoplasty, or a "tummy tuck," which involves removing excess skin and fat and tightening the muscles. This option is typically reserved for those with significant diastasis recti that impacts daily life or for those seeking diastasis recti hernia in men treatment.

Prevention of Diastasis Recti in Men

Preventing diastasis recti involves maintaining a healthy weight, engaging in proper exercise techniques, and avoiding unnecessary strain on the abdominal muscles. Key prevention strategies include:

  • Engage in Core-Strengthening Exercises: Regularly perform exercises that strengthen the entire core, improving stability and reducing the risk of muscle separation.
  • Maintain Proper Form During Exercises: Ensure you're performing exercises correctly to avoid putting undue stress on the abdominal area.
  • Avoid Excessive Weight Gain: Keeping within a healthy weight range can reduce the strain on the abdominal muscles.


Incorporating these treatment and prevention strategies into your lifestyle can significantly impact managing or avoiding diastasis recti, leading to improved core strength and overall well-being.

Key Takeaways

  • Diastasis recti in men is a condition where the abdominal muscles separate, leading to a bulge or "pooch" in the midsection.
  • Excessive internal abdominal pressure, improper exercise routines, and genetic predisposition are primary causes of diastasis recti in men.
  • Symptoms include a visible bulge in the abdomen, lower back pain, difficulty with movements involving the core, and gastrointestinal issues.
  • Key risk factors include age, obesity, a history of diastasis recti, and engaging in certain types of exercises that strain the abdominal wall.
  • Treatment options range from physical therapy and targeted exercise programs to surgery in severe cases.
  • Prevention strategies focus on engaging in core-strengthening exercises, maintaining proper form during exercises, and avoiding excessive weight gain.
  • Utilizing resources like the Symptom Checker for Men can provide initial guidance but should not replace professional medical advice.

Frequently Asked Questions

What is diastasis recti bulge in men?

Diastasis recti bulge in men refers to the noticeable protrusion or "pooch" that appears in the abdomen as a result of the abdominal muscles separating. This separation creates a gap that allows the internal organs to push forward, creating the bulge.

How can I get rid of diastasis recti in men?

Getting rid of diastasis recti in men involves a combination of physical therapy, targeted exercises, and lifestyle changes. Exercises focused on strengthening the core, improving posture, and reducing abdominal pressure can help close the gap between the muscles. In severe cases, surgical options such as abdominoplasty might be considered.

What causes diastasis recti in men?

Diastasis recti in men can be caused by excessive internal abdominal pressure, improper exercise routines, genetic predisposition, and lifestyle factors. Activities that strain or overload the abdominal muscles, such as heavy lifting without proper technique, can lead to muscle separation.

Can diastasis recti lead to hernia in men?

Yes, diastasis recti can lead to hernia in men, particularly umbilical hernias. The separation of the abdominal muscles weakens the abdominal wall, creating an environment where internal organs, especially the intestines, can protrude, forming a hernia. This condition requires medical intervention to prevent further complications.

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